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*First Name

*Last Name

*Address

*City

*State

*Zip Code

*E-mail Address

*Phone

*Preferred Location for Employment

*Position of Interest

Type of Employment Seeking:

Availability to begin:

Have you ever applied for employment with Sona?

Yes

No

If yes, what position?

What year?

Can you provide proof of eligibility to work in the US:	Yes	No
Are you related to anyone currently working for Sona:	Yes	No

If yes, whom?

Relationship

Have you even been convicted of an offense against the law other than a minor traffic violation? (A conviction does not mean you cannot be hired. The offense and how recent you were convicted will be evaluated in relation to the job for which you are applying).

Yes

No

If yes, explain below:

Salary Expectations:

Hourly:

or Yearly:

I certify that I have given true, accurate and complete information on this application for employment with Sona MedSpa, to the best of my knowledge. In the event confirmation is needed in connection with my work, I authorize employers, education institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualifications.

I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application, disciplinary action or dismissal if I am employed, and (or) criminal action. I further understand that dismissal upon employment shall be mandatory if fraudulent disclosures are given to meet position qualifications (Authority: G.S. 126-30, G.S. 140122.1).

I confirm that I have read and understand the above statement.*

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